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- CAP Opposes Cigna’s Latest Plan to Deny Payment for PC of CP
In late September, pathologists and laboratories began receiving letters from Cigna stating that the insurer would go forward with an updated payment policy on the professional component of clinical pathology (PC of CP) it had previously tabled following opposition from the CAP and pathologists from around the country.
The CAP is analyzing the latest communications from Cigna to determine its exact effect on pathologists practicing in a variety of settings. The CAP has contacted Cigna officials to get additional information and discuss concerns pathologists have with the policy.
Previously, the CAP has said that for Cigna to discontinue reimbursement for these services would prove detrimental to patients and to the integrated delivery of care to which laboratory diagnostic services are central. The CAP will provide further updates on its discussions with the insurer as they develop.
In April, Cigna had initially announced the payment policy change would take effect in July. In communications to Cigna, the CAP maintained the PC of CP services are critical to the reliable and accurate diagnosis and treatment of patients. In a letter to Cigna on April 23, the CAP urged Cigna to continue paying for the PC of CP services for all pathologists. Cigna then announced in June it would continue to payment.